scholarly journals Use of propofol and thiopentone sodium as anaesthetic agent in electroconvulsive therapy for psychiatric disorders: A comparative study

2020 ◽  
Vol 15 (2) ◽  
pp. 32-36
Author(s):  
Kiran B Sonawane ◽  
1970 ◽  
Vol 20 (1) ◽  
pp. 28-35
Author(s):  
SK Mondol ◽  
MA Rahim

Intravenous anesthesia became possible with drugs available since 1930 and the concept rapidly became popular with patients and anaesthetists. From the patient's point of view it had the advantage of producing rapid loss of consciousness without excitement, distress, or the sensation of smothering often produced by a tightly pressed facemask. For the anesthetist, there was the predictable anaesthesia which was ideally rapid in onset and without coughing or movements. Thiopentone sodium, propofol and midazolam have been used in our comparative clinical study (About 100 cases) as an intravenous anaesthetic agent. Our clinical study was into three aged groups such as neonates & children (40 cases), middle aged (40 cases) and elderly (20 cases). 100 cases were divided into paediatric cases, in outpatient procedures, in neurosurgical cases, in geriatric anaesthesia, in obstetric cases. In our comparative study, we have seen when propofol used for induction of anaesthesia in briefer procedures, results in a significantly quicker recovery and an earlier return of psychomotor function as compared with thiopentone and midazolam irrespective of the agent used for maintenance of anaesthesia.   doi: 10.3329/taj.v20i1.3086 TAJ 2007; 20(1): 28-35


1953 ◽  
Vol 109 (10) ◽  
pp. 749-756 ◽  
Author(s):  
WILLIAM L. HOLT ◽  
DONALD NISWANDER ◽  
DEWEY K. ZIEGLER ◽  
RICHARD TURK

2021 ◽  
Vol 8 (28) ◽  
pp. 2472-2477
Author(s):  
Swapnil Agrawal ◽  
Aftab Ahmed Khan

BACKGROUND With recent advancement in health facility, both in urban and rural population, ratio of elderly people has increased and due to this apart from physical illness, mental health is also emerged as an important public health challenge. Psychiatric disorders such as depression, anxiety, cognitive disorders and substance use disorders were commonly found in elderly specially living alone and in care homes. The primary purpose of this study was to compare mental health of elderly people living in care homes with those living with family in Kota (Hadoti region, Rajasthan). METHODS This is a cross-sectional comparative study that was carried out in 50 elderly people living in care homes and 50 elderly people living with family. Both groups were screened for psychiatric disorders using general health questionnaire (GHQ – 12). Comparison was made under various headings between these groups including severity. Obtained data were analysed by using proportion, mean, standard deviation, chi-square, and Pearson correlation. RESULTS No statistically significant difference was found in having psychiatric disorders on screening with GHQ - 12. Difference in these groups for prevalence and severity was not statistically significant for depression and anxiety although significant higher mean of total geriatric depression score (GDS) score in control (10.74 ± 2.56) than in cases (9.38 ± 2.36) and total Hamilton’s anxiety rating scale (HAM – A) score was seen in case group (24.53 ± 3.50) than in controls (23.15 ± 2.34). CONCLUSIONS In this study, it was found out that psychiatry morbidity was higher among elderly population living in old age home when compared to elders living with family in community. Possible reason for higher psychiatric morbidity in old age home group in our study appears to be because of lack of family support, pain of being separated from their children whom they cared and nurtured for their whole life. In psychiatric morbidity we found that depression was the most common disorder in elderly population in both groups. KEYWORDS Old Age Home, Mental Disorders, Depression, Anxiety


Author(s):  
Aidan O’Donnell

This chapter describes the anaesthetic management of the patient with those psychiatric disorders which are relevant to anaesthetic practice, including dementia, alcoholism, and anorexia nervosa. Psychiatric medications which can affect anaesthetic practice are described, including monoamine oxidase inhibitors, antipsychotic drugs, and lithium. Anaesthesia for drug-misusing patients and electroconvulsive therapy is described. Sedation of agitated patients on the ward is discussed.


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